The holder whose full name is Kim, Chong Eun,come from Crown Point IN,hold the Dental Hygiene Anesthesia Permit license(NO.89000151A) which status is Expired.
| Name | Kim, Chong Eun |
|---|---|
| License Number | 89000151A |
| License Type | Dental Hygiene Anesthesia Permit |
| License Status | Expired |
| City | Crown Point |
| State | IN |